© 2008 American Public Health Association DOI: 10.2105/AJPH.2008.142299
Janlori Goldman is with the Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, and the Health Privacy Project, Center for Democracy and Technology, Washington, DC. Sydney Kinnear is with the Center on Medicine as a Profession (CMAP), College of Physicians and Surgeons, Co-lumbia University, New York, NY. Jeannie Chung is a first year law student at Brooklyn Law School, Brooklyn, NY. David J. Rothman is with the College of Physicians and Surgeons and the Institute on Medicine as a Profession, Columbia University, New York. Correspondence: Requests for reprints should be sent to David J. Rothman, Institute on Medicine as a Profession, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, P&S Box 11, New York, NY 10032 (e-mail: djr5@colubmia.edu).
Regrettably, New York City Health Department Commissioner Thomas R. Frieden continues to misunderstand the points made in our article. We share with the New York City Department of Health and Mental Hygiene (DOHMH) a keen desire to promote access to comprehensive, effective care for people with diabetes and HIV/AIDS, as well as increased resources for prevention and community education. However, our overarching concern is that the DOHMHs approaches will discourage patients from seeking and continuing care and will undermine medical professionalism. We respond to two particular issues raised by Frieden.
Regarding diabetes, we fear that the DOHMHs direct intervention into
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